AR / Billing & Insurance Specialist
hace 4 semanas
Join to apply for the AR / Billing & Insurance Specialist role at ScaleUp The AR / Billing & Insurance Specialist is responsible for ensuring timely and accurate insurance reimbursement for a medical clinic. This role requires a strong medical billing and insurance background, with hands‑on experience managing the full insurance follow‑up process to secure payment for clinical services rendered. Key Responsibilities: Prepare, submit, and resubmit medical insurance claims. Monitor accounts receivable (AR) and follow up on unpaid or delayed claims. Communicate directly with insurance payers to resolve claim issues, including claim rejections. Submit appeals and supporting documentation (medical records, authorizations, corrected claims). Correct billing errors related to CPT, ICD-10, or modifiers and resubmit claims. Track AR aging (30/60/90+ days) and prioritize follow‑up accordingly. Coordinate with providers and internal clinic teams to obtain required clinical documentation. Work closely with the Payment Poster to address discrepancies identified after payment posting. Required Qualifications: 3–4 years of experience in medical billing, AR, or insurance follow‑up. Proven experience working in a medical clinic or healthcare organization. Strong knowledge of CPT, ICD-10, HCPCS, and medical billing workflows. Experience handling insurance portals, clearinghouses, and payer communications. Strong analytical, organizational, and follow‑up skills. Ability to manage multiple payers and high claim volumes. Preferred Skills: Experience handling insurance denials and appeals across multiple payers. Strong understanding of payer‑specific billing rules and reimbursement guidelines. Ability to analyze AR aging reports and prioritize collections effectively. Familiarity with medical necessity documentation and prior authorization processes. Strong written and verbal communication skills for payer and internal coordination. Experience working with clearinghouses and insurance portals. Ability to identify root causes of recurring denials and recommend process improvements. Comfortable managing high claim volumes and multiple follow‑ups simultaneously. Prior experience in a multi‑provider or specialty medical clinic setting. What We Offer: Competitive Salary: We offer a market‑aligned compensation package based on experience and performance. Remote Work Flexibility: Enjoy the flexibility of working from anywhere, with the support of a collaborative and dynamic remote team. Professional Growth: We are committed to your professional development and provide opportunities for growth and advancement within the company. Inclusive Work Environment: Join a diverse and inclusive team where your contributions are valued, and your voice is heard. Seniority level Entry level Employment type Full-time Job function Accounting/Auditing and Finance Outsourcing and Offshoring Consulting #J-18808-Ljbffr
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